Individual
STACEY RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
320 E SOUTH ST STE 100, ORLANDO, FL 32801-3508
(407) 843-1180
(407) 841-6160
Mailing address
320 E SOUTH ST STE 100, ORLANDO, FL 32801-3508
(407) 843-1180
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9277710
FL
363LF0000X
Family Nurse Practitioner
RN9277710
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101498400
—
FL
Enumeration date
01/17/2015
Last updated
09/14/2025
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